During the first few weeks of my new ED experience, I can tell you that the community of this new hospital has a larger drug problem than the last. At least a third of my patients have been on Meth or Tranq. Every patient that I have ordered a tox screen for has been positive for one or more of the following: opioids, Benzodiazepines, cannabis, or methamphetamines- in one case, even an 80 year old woman who came in unresponsive and wound up dying- she tested positive for benzodiazepines and cannabis.
In one day alone, I had four different patients come in that were combative because they were on Meth. One of them required 4 nurses, 2 paramedics, and 8 security guards to hold down. We wrestled with him for almost 45 minutes and had to give him 6mg of Ativan, 50 mg of Benadryl, and 10mg of Haldol before he took a nap.